Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy
Optimizing the adenoma detection rate (ADR) is a major goal in colorectal cancer (CCR) screening, as it has long been established that ADR is inversely proportional to the risk of post-colonoscopy CRC occurrence. To achieve this goal, many optimization devices have been developed,...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2024-03-01
|
| Series: | Endoscopy International Open |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2280-7096 |
| _version_ | 1797236577171144704 |
|---|---|
| author | David Karsenti |
| author_facet | David Karsenti |
| author_sort | David Karsenti |
| collection | DOAJ |
| description | Optimizing the adenoma detection rate (ADR) is a major goal in colorectal cancer (CCR)
screening, as it has long been established that ADR is inversely proportional to the risk of
post-colonoscopy CRC occurrence. To achieve this goal, many optimization devices have been
developed, and numerous randomized controlled trials have been conducted to evaluate the
benefits of these devices compared with a "standard arm," which corresponds to date to
high-definition white light (HD-WLI) colonoscopy. Numerous studies have confirmed the positive
impact of various optimization devices, such as caps, computer-aided detection, and
contrast-enhanced technologies. Moreover, the different ways in which the devices can impact
ADR make them complementary. However, despite substantial and consistent data, practices
remain unchanged, and HD-WLI colonoscopy, considered the "standard," is still routinely
performed without any optimization devices. The objective of this viewpoint is to understand
the barriers to change and to show why standard screening colonoscopy without the use of any
optimization devices should no longer be considered relevant in 2024. |
| first_indexed | 2024-04-24T17:06:04Z |
| format | Article |
| id | doaj.art-631105f62c97418f9231571bb251fdc2 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-04-24T17:06:04Z |
| publishDate | 2024-03-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-631105f62c97418f9231571bb251fdc22024-03-29T00:08:23ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362024-03-011203E463E46610.1055/a-2280-7096Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopyDavid Karsenti0https://orcid.org/0000-0003-1487-2814Digestive Endoscopy Unit, Clinique Paris-BercyOptimizing the adenoma detection rate (ADR) is a major goal in colorectal cancer (CCR) screening, as it has long been established that ADR is inversely proportional to the risk of post-colonoscopy CRC occurrence. To achieve this goal, many optimization devices have been developed, and numerous randomized controlled trials have been conducted to evaluate the benefits of these devices compared with a "standard arm," which corresponds to date to high-definition white light (HD-WLI) colonoscopy. Numerous studies have confirmed the positive impact of various optimization devices, such as caps, computer-aided detection, and contrast-enhanced technologies. Moreover, the different ways in which the devices can impact ADR make them complementary. However, despite substantial and consistent data, practices remain unchanged, and HD-WLI colonoscopy, considered the "standard," is still routinely performed without any optimization devices. The objective of this viewpoint is to understand the barriers to change and to show why standard screening colonoscopy without the use of any optimization devices should no longer be considered relevant in 2024.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2280-7096Polyps / adenomas / ...CRC screeningEndoscopy Lower GI TractDiagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...)Quality and logistical aspectsQuality management |
| spellingShingle | David Karsenti Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy Endoscopy International Open Polyps / adenomas / ... CRC screening Endoscopy Lower GI Tract Diagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...) Quality and logistical aspects Quality management |
| title | Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy |
| title_full | Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy |
| title_fullStr | Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy |
| title_full_unstemmed | Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy |
| title_short | Standard screening high-definition colonoscopy without any optimization device is no longer relevant: Time to move to optimized screening colonoscopy |
| title_sort | standard screening high definition colonoscopy without any optimization device is no longer relevant time to move to optimized screening colonoscopy |
| topic | Polyps / adenomas / ... CRC screening Endoscopy Lower GI Tract Diagnosis and imaging (inc chromoendoscopy, NBI, iSCAN, FICE, CLE...) Quality and logistical aspects Quality management |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2280-7096 |
| work_keys_str_mv | AT davidkarsenti standardscreeninghighdefinitioncolonoscopywithoutanyoptimizationdeviceisnolongerrelevanttimetomovetooptimizedscreeningcolonoscopy |